Middle Name

Surname

Gender

Date of Birth

Religion

Nationality

Resident Address

Pin

To be clearly stated Guardian's Organization (Name, Address, Phone No. and Details of Business/ Service)

Is the Job transferable?

Guardian's Residential Address

Pin

Mobile No.

E-mail ID

5. In case of Emargency, Name, Address and Phone No. of a local person to contacted,if parents are undereachable.

Pin

Mobile No.

6. Are you a single parent?

7. Category

8. School previously attended

Name of the school last attended

Class

Date of Admission

Date of Leaving

9.Is conveyance required?

10. Does the child have special needs?

If yes, give details

11. Health Information of Student

Allergy/Chronic ailment (if any)

Physical Handicap/Disability(if any)

Any other heath problem

Blood Group

12. Sibling Data (Only real brother/s and sister/s)

A

Name

Gender

Age

Name of the School

Class

Section

B

(B) Name

Gender

Age

Name of the School

Class

Section

13. Documents to be enclosed along with admission form.

a. Attested photocopy of Municipal Birth Certificate.

b. Medical fitness certificate of the child from a registered medical practitioner

c. Proof of Residence

d. Identity proof of Parents/Guardian (copy of Aadhar of Parents/ Guardian)

e.Proof of Guardianship (If applicable)

f. Report of last class attended

g. Business card as proof of business/service

h. Transfer certificate - TC (if applicable)

i. SC/ST/OBC/Any other certificate if applicable

j. Parent's educational qualification certificates

14. Area in which you (parents) could contribute to the growth and development of the school.

Cultural/Professional/Academic/Sports & games/any other

Student's Photo

Father's Photo

Mother's Photo

Guardian's Photo

Declaration

Please admit my son/daughter/ward name above in your school. I shall provide full support in the progress of my child and ensure his/her participation is every activity of the school.